Individual provider Active NPI

Julio A Lemos, M.D.

  • Diagnostic Radiology Physician
  • Plattsburgh, NY
National Provider Identifier
1689736720
Registry record updated Oct 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
268642 Issued in NY
Practice address
16 Degrandpre Way Ste 600
Department of Radiology (1329)
Plattsburgh, NY 12901-6454
Phone
(518) 563-0490
NPI assigned
Dec 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 268642 NY Primary

Addresses

Primary practice location

16 Degrandpre Way Ste 600
Department of Radiology (1329)
Plattsburgh, NY 12901-6454

Mailing address

PO Box 2007
East Syracuse, NY 13057-4507
Phone (315) 362-5285

Other identifiers 2

IdentifierTypeStateIssuer
0-640-194-7OtherECFMG ID NUMBER
060-0003458OtherVTPHYSICIAN LICESE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT, NY2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20101027000960 VT Practitioner - Diagnostic Radiology 1254525835 Reassigns benefits to 4 organizations
I20120308000281 NY Practitioner - Diagnostic RadiologyPractitioner - Interventional Radiology 1254525835 Reassigns benefits to 8 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
268642NYMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Central Vermont Medical Center Inc CurrentSince Mar 27, 2024 Accepting new patients
Elizabethtown Community Hospital Current Accepting new patients
Porter Hospital Inc Current Accepting new patients
Porter Hospital, Inc CurrentSince Mar 27, 2024 Accepting new patients
Alice Hyde Medical Center Current Accepting new patients
Champlain Valley Physicians Hospital Medical Center CurrentSince Mar 21, 2017 Accepting new patients
Alice Hyde Medical Center CurrentSince Sep 21, 2019 Accepting new patients
University of Vermont Medical Center Inc CurrentSince Jan 1, 2021 Accepting new patients
Elizabethtown Community Hospital CurrentSince Mar 28, 2024 Accepting new patients
Alice Hyde Medical Center Past Accepting new patients

Locations

969 State Route 11
Moira, NY 12957
Phone (518) 529-7847

16 Degrandpre Way
Ste 600
Plattsburgh, NY 12901
Phone (518) 562-7500

75 Beekman St
Plattsburgh, NY 12901
Phone (518) 562-7100

130 Fisher Rd
#C
Berlin, VT 05602
Phone (802) 225-5400

111 Colchester Ave
Burlington, VT 05401
Phone (802) 656-2415

1 S Prospect St
Burlington, VT 05401
Phone (802) 847-4531

115 Porter Dr
Middlebury, VT 05753
Phone (802) 388-4701

82 Catamount Park
Middlebury, VT 05753
Phone (802) 388-7185

104 Porter Dr
Middlebury, VT 05753
Phone (802) 388-5682

Interoperability endpoints

  • FHIR API: https://fhir-usa.unify.chbase.com/org/elizabe-e663f886
  • Direct secure messaging: jlemos399212@direct.uvmhealth.org

Organizations & group practices 17

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 17

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic RadiologyAlso: Interventional Radiology
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cayuga Medical Associates PC 278 clinicians
Alice Hyde Medical Center 88 clinicians
Champlain Valley Physicians Hospital Medical Center 356 clinicians
Elizabethtown Community Hospital 62 clinicians

Practice addresses (Care Compare)

101 Dates Dr
Ithaca, NY 14850-1342
Phone (607) 274-4296

133 Park St
Malone, NY 12953-1243
Phone (518) 481-2545

310 Taughannock Blvd
Suite 4
Ithaca, NY 14850-3251
Phone (607) 269-0100

75 Beekman St
Plattsburgh, NY 12901-1438
Phone (518) 562-7100

75 Park St
Elizabethtown, NY 12932-2300
Phone (518) 673-6377

Hospital & facility affiliations

  • The University of Vermont Health Network - Champl Hospital, Plattsburgh, NY, CCN 330250
  • Cayuga Medical Center at Ithaca Hospital, Ithaca, NY, CCN 330307
  • Elizabethtown Community Hospital Hospital, Elizabethtown, NY, CCN 331302

Procedures performed for Medicare patients

ProcedureNumber of procedures
Leg revascularization (restoring blood flow)1-10
Removal of tissue14
Removal of skin lesions1-10

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602979200000",
    "number": "1689736720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2007",
            "city": "EAST SYRACUSE",
            "state": "NY",
            "postal_code": "130574507",
            "telephone_number": "315-362-5285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 DEGRANDPRE WAY STE 600",
            "address_2": "DEPARTMENT OF RADIOLOGY (1329)",
            "city": "PLATTSBURGH",
            "state": "NY",
            "postal_code": "129016454",
            "telephone_number": "518-563-0490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEMOS",
        "first_name": "JULIO",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-14",
        "last_updated": "2020-10-18",
        "certification_date": "2020-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "268642",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ECFMG ID NUMBER",
            "identifier": "0-640-194-7",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICIAN LICESE",
            "identifier": "060-0003458",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plattsburgh, NY

Sources for this page

Verify at the official NPI Registry.